Why are my nipples different shapes/sizes? Extent of gynecomastia? (photos)

Question

Hello, I am a 20 year old male and would like to get a professional opinion as to potential reasons why my nipples are of different shapes/sizes. Additionally, I would like to know the extent of my Gynecomastia, and whether it appears to be mostly fat or gland based; the "hard pucks" under my nipples are very small. With exercise, can the larger nipple's prominence decrease? I try to not be self conscious about it, but it is prominent. Can weight loss help significantly? Thank you very much

Tim Neavin, MD · Answer

Thank you for your question. Based on your photos provided, it appears that you have gynecomastia. The nipples can also be treated as well. I would advise you to schedule a consultation with a board certified plastic surgeon for a detailed examination to discuss all possible treatment options and what your expectations are.

Larry S. Nichter, MD, MS, FACS · Answer

Healthy male patients with excess breast tissue or unwanted breast development who have no underlying breast disease.Men who desire improved physical and aesthetic appearance should have realistic expectations based on their condition and the procedure performed. You should meet with a board certified plastic surgeon to be able to get a formal diagnosis and to be able to decide on a course of treatment if necessary.

Kenneth Hughes, MD · Answer

Nipple reduction and gynecomastia reduction can be performed at the same time and will improve the look of your overall chest.  Find a plastic surgeon with ELITE credentials who performs hundreds of body contouring procedures each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. Despite your good quality pictures, nothing will replace in-person examination to determine whether your chest wall "fullness" is related to breast or adipose tissue. This distinction is important when it comes to determining the appropriate operation to achieve your goals. Lipomastia can be treated with liposuction surgery whereas gynecomastia usually requires direct excision of breast tissue and/or liposuction surgery.

	 If the lenghth/size of the nipple is concerning, nipple reduction surgery is an option to consider.

	 You may find the attached link helpful to you as well.

	 Best wishes.

Michelle Copeland, MD, DMD · Answer

Gynecomastia is characterized by enlarged breast tissue and affects an astonishing 40 to 60% of men. Fortunately, the condition is easily reversed with liposuction just by making a small incision under the nipple. It is now possible to reduce the size of the breast using virtually scarless technique.  Through a small incision around the nipple  Liposuction with ultrasound and  fine laser beams liquefy the fat and glandular tissue recontouring the breastaround the areola and from the sides and bottom of the breasts. Because liposuction stimulates the skin to tighten, a smooth contour after fat is removed is possible.

Why are my nipples different shapes/sizes? Extent of gynecomastia? (photos)

Answers (6)

Answer: Nipple Asymmetry and Gynecomastia Concerns?

Answer: Nipple Asymmetry and Gynecomastia Concerns?

Answer: Gynecomastia Concerns

Answer: Gynecomastia Concerns

Recommended reading

Everything you need to know about Gynecomastia Surgery

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Why are my nipples different shapes/sizes? Extent of gynecomastia? (photos)

Answers (6)

Answer: Nipple Asymmetry and Gynecomastia Concerns?

Answer: Nipple Asymmetry and Gynecomastia Concerns?

Answer: Gynecomastia Concerns

Answer: Gynecomastia Concerns

Browse related questions

Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.